- BD (Becton, Dickinson and Company) (Covington, GA)
- …questions + Provide timely review and approval of product labeling and marketing claims for regulatory compliance + Update STED technical files for CE marking ... activities and notified body interaction to accomplish EU/MDR product + May direct Project Team personnel; may provide direction to assistant personnel **Education** Bachelor's degree in a Scientific field with 3-5 years of validated experience in the areas of… more
- Prime Therapeutics (Atlanta, GA)
- …to support clinical program using eligibility, medical, and pharmacy administrative claims . This position is responsible for performing work that includes study ... design, measurement and publishing results of complex pharmacy and medical health insurance clinical programs. **Responsibilities** + Design, develop and apply statistical theories and methods to solve complex technical problems + Define detailed report… more
- Samsung SDS America (Duluth, GA)
- …+ Investigate and report service failures, accidents, misconduct, security incidents, or claims to the appropriate departments for timely resolution. + Prepare and ... distribute daily, weekly, and monthly performance reports; brief team leaders on operational highlights and issues. + Lead daily management meetings to review previous day's performance and develop action plans for current operations. + Manage end-to-end… more
- Humana (Atlanta, GA)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be passionate about contributing to an… more
- Molina Healthcare (Augusta, GA)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... ETL pipelines to support ongoing reporting and analytics workflows. * Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. * Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost… more
- Molina Healthcare (Augusta, GA)
- …experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... combination of education and Health Care related experience of 4+ years **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 4+ years experience in health care industry in related field **PREFERRED EDUCATION:** Bachelor's degree in healthcare related field… more
- Philadelphia Insurance Companies (Alpharetta, GA)
- …the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life… more
- Carrington (Atlanta, GA)
- …title records, organizing documents, creating chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier ... retained counsel. + Ensure compliance with outside counsel guidelines and oversee adherence to loan servicing agreements and delegated authority matrixes. + Create, maintain, and deliver weekly, monthly and quarterly matter related reports. + Resolve routine… more
- Walmart (Sharpsburg, GA)
- …up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink ... and damages organizing and maintaining availability of cartsflatbeds assisting members with transporting items utilizing cart retrieval equipment according to company policies and procedures and maintaining parking lot cleanliness Completes accounting records… more
- Grant Thornton (Atlanta, GA)
- …related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and ... operational efficiency. + Extensive Healthcare Provider Experience: Minimum of 3 years' experience working directly with diverse healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a comprehensive understanding of… more